Pediatric Surgery

Overview

BaliMéd Hospital pediatric surgery department performs all pediatric surgical procedures, from the simplest to the most complex. Because a child’s care may involve a team of pediatric experts from several surgical and medical specialties, we coordinate and integrate in state-of-the-art facilities equipped with the latest technology. Our physicians from every surgical sub-specialty, from cardiac to transplant, work closely with a full range of pediatric sub-specialties at BaliMéd Hospital – including anesthesiology, cardiology, pediatric oncology, radiology, pathology and nursing – to ensure your child receives exceptional care. This is where the Leaders and Best come together with advanced technologies and breakthrough treatments that change lives.

Conditions We Treat

Hernia

A hernia can develop in the first few months after a baby is born. It happens because of a weakness in the abdomen muscles. Straining and crying don’t cause hernias. But the increased pressure in the belly can make a hernia more easily seen.

As a male baby grows during pregnancy, the testicles develop in the abdomen. Then they move down into the scrotum through the inguinal canal. Shortly after the baby is born, the inguinal canal closes. This stops the testicles from moving back into the abdomen. If this area does not fully close, a part of the intestine can move into the canal through the weakened area of the lower belly wall. This causes a hernia.

In some cases, the part of intestine that pushes through a hernia may become stuck. It is no longer reducible. This means it can’t be gently pushed back into the belly. When this happens, that part of the intestine may not get enough blood. A good blood supply is needed for the intestine to be healthy and to work the right way.

Although girls don’t have testicles, they do have an inguinal canal. So they can also have hernias in the groin.

Hypospadia

Hypospadias is a condition where the meatus isn’t at the tip of the penis. Instead, the hole may be any place along the underside of the penis. The meatus (hole) is most often found near the end of the penis (“distal” position). But it may also be found from the middle of the penile shaft to the base of the penis, or even within the scrotum (“proximal” positions). Over 80% of boys with this health issue have distal hypospadias. In 15% of those cases, the penis also curves downward slightly, a condition called “chordee.” When the meatus opens further down the shaft, curvature occurs in more than 50% of patients. Hypospadias is a common birth defect found in up to 1 in every 200 boys.

In most cases, hypospadias is the only developmental problem in these infants and doesn’t imply there are other flaws in the urinary system or other organs.

Imperforate Anus

An imperforate anus is a birth defect that happens while your baby is still growing in the womb. This defect means that your baby has an improperly developed anus, and therefore can’t pass stool normally from their rectum out of their body.

It occurs more often in boys than girls. The rectum, bladder, and vagina of a female baby with an imperforate anus sometimes share one large opening. This opening is called a cloaca.

The condition develops in the womb during the fifth to seventh weeks of pregnancy. The cause is unknown. Many times babies with this condition also have other defects of the rectum.

Doctors usually can diagnose this condition shortly after birth. This is a very serious condition that requires immediate treatment. Most babies will need surgery to repair the defect. The outlook following surgery is very positive.

Appendicitis

The appendix is a small finger-like organ that’s attached to the large intestine in the lower right side of the abdomen. The inside of the appendix forms a cul-de-sac that usually opens into the large intestine.

When the appendix is blocked, it becomes inflamed and bacteria can overgrow in it. Blockage can be due to hard rock-like stool (called a fecolith), inflammation of lymph nodes in the intestines, or even infections like parasites.

If the infected appendix isn’t removed, it can burst and spread bacteria. The infection from a ruptured appendix is very serious — it can form an abscess (an infection of pus) or spread throughout the abdomen (this type of infection is called peritonitis).

Appendicitis mostly affects kids and teens between 10 and 20 years old, and is rare in infants. It’s one of the most common reasons for emergency abdominal surgery in kids. Appendicitis is not contagious.

Megacolon

The large intestine is the lowest section of your digestive tract. It includes your appendix, colon, and rectum. The large intestine completes the digestive process by absorbing water and passing waste (stool) to the anus.

Certain conditions can cause the large intestine to malfunction. One such condition is toxic megacolon or megarectum. Megacolon is a general term that means the abnormal dilation of the colon. Toxic megacolon is a term used to express the seriousness of the condition.

Toxic megacolon is rare. It’s a widening of the large intestine that develops within a few days and can be life-threatening. It can be a complication of inflammatory bowel disease (such as Crohn’s disease).

Care with integrity and safety

With the vision to provide an international standard medical center under one roof for residents and tourists in Bali, BaliMéd Hospital is now the leading integrated healthcare delivery service provider in Bali. The healthcare verticals of the company primarily comprise hospitals, diagnostics and day care specialty facilities.